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1780100677
JOSE MANUEL AVILA
DALLAS, TX
NPI
1780100677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-16-13831)
Enumeration Date
2017-08-22
Last Update Date
2022-07-21
Business Address
JOSE MANUEL AVILA RBT
5580 LBJ FWY 615
DALLAS, TX 75240
Phone number: 214-601-4963
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Mailing Address
JOSE MANUEL AVILA RBT
5580 LBJ FWY
DALLAS, TX 75240-6210
Phone number: 214-601-4963
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